NPI | 1194258384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0093665) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R76025) |
207P00000X Emergency Medicine (Licence: MD D0093665) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2023-11-09 |